Hyperkinetic movement disorders

Question 1

Name 5 features of hyperkinetic movement disorders

Answer 1

Dystonia 
Tics 
Myoclonus
Chorea 
Tremor

Question 2

Resting tremor - which disease has this?

Answer 2

Parkinson’s disease (but remember parkinson is a hypo kinetic movement disorder)

Question 3

Resting tremor is symetrical. True or false?

Answer 3

False

- asymetrical

Question 4

Postural tremor - when does it arise

Answer 4

When you are carrying out a specific posture (i.e. putting hands out in front of you)

Question 5

Postural tremor is faster/slower than resting tremor?

Answer 5

Faster

Question 6

Action tremor - when does it arise?

Answer 6

When moving

Question 7

Intention tremor - is usually due to dysfunction of ____ ?

Answer 7

Cerebellum

Question 8

Intention tremor - what is it

Answer 8

Patient gets a tremor as they approach a target

Question 9

Essential tremor is unilateral/bilateral?

Answer 9

Bilateral

Question 10

Which part of the body does essential tremor occur?

Answer 10

Hands and forearms

Question 11

Essential tremor

Answer 11

Bilateral action tremor with ABSENCE of other neurological signs

Question 12

Essential tremor - worsened by alcohol. True or false?

Answer 12

False

- alcohol makes it better

Question 13

Essential tremor - management

Answer 13

Propranolol

Primidone

Question 14

Tics - definition

Answer 14

Involuntary stereotyped movements or vocalisations

Question 15

What are the 2 classifications of tics?

Answer 15

Primary

Secondary

Question 16

Primary tics mainly arise in childhood/adulthood?

Answer 16

Childhood

Question 17

Primary tics - name 3 types

Answer 17

Simple transient tics of childhood
Chronic tics of childhood
Tourettes

Question 18

What is the diagnostic criteria for tourettes syndrome?

Answer 18

Multiple motor tics and one or more vocal tic must be present

Tics must occur many times a day, nearly every day, or intermittently for more than 1 year with no longer than 3 months interval

Age of onset less than 18

Question 19

Tourettes syndrome can only be diagnosed in over/under 18 year olds?

Answer 19

Under 18 year olds

Question 20

Symptomatic treatment for tourettes syndrome?

Answer 20

Clonidine

Tetrabenazine

Question 21

Myoclonus - definition

Answer 21

Jerky involuntary movements

Quick and simple jerks

Question 22

Chorea - definition

Answer 22

involuntary movements
Irregular
Purposeless
Unpredictable in timing

Question 23

Chorea is the hallmark of which inherited disorder?

Answer 23

Huntingtons disease

Question 24

Dystonia

Answer 24

Uncontrolled and sometimes painful muscle spasms